| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
22,014 |
18,896 |
$1.68M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,608 |
1,584 |
$124K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,379 |
1,363 |
$102K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
641 |
632 |
$54K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,799 |
2,744 |
$49K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
488 |
475 |
$35K |
| 90461 |
|
1,560 |
1,530 |
$21K |
| 92551 |
|
2,139 |
2,104 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
161 |
159 |
$1K |
| 97169 |
|
17 |
16 |
$468.00 |
| 90688 |
|
897 |
882 |
$0.02 |
| 90680 |
|
162 |
158 |
$0.00 |
| 90698 |
|
475 |
466 |
$0.00 |
| 90651 |
|
52 |
52 |
$0.00 |
| 90744 |
|
13 |
13 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90734 |
|
40 |
39 |
$0.00 |
| 99173 |
|
1,833 |
1,791 |
$0.00 |
| 90670 |
|
478 |
469 |
$0.00 |
| 90633 |
|
145 |
144 |
$0.00 |
| 99177 |
|
28 |
27 |
$0.00 |